Client Experience Survey

Tell us how we are doing!

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Rainier Behavioral Health

Telephone 253-475-6021

We are delighted to have seen you chose Rainier Behavioral Health for your behavioral health needs. Please help us provide you with the best care possible and tell us how we are doing, and how we can improve.

Appointment Information

Physician name

Questions

How satisfied were you with your Clinician? Please select an answer, with 1 being completely dissatisfied, and 10 being completely satisfied

1 2 3 4 5 6 7 8 9 10

How likely are you to recommend us to your friends and family? Please select an answer, with 1 being not at all likely, and 10 being very likely

1 2 3 4 5 6 7 8 9 10

Overall, how satisfied are you with the Intake Department? Please select an answer, with 1 being not satisfied at all, and 10 being extremely satisfied.

1 2 3 4 5 6 7 8 9 10

Overall, how satisfied were/are you with our Front Office Staff? Please select an answer, with 1 being not satisfied at all, and 10 being extremely satisfied.

1 2 3 4 5 6 7 8 9 10

Overall, how satisfied were you with the experience with our Billing Staff? Please select an answer, with 1 being not satisfied at all, and 10 being extremely satisfied.

1 2 3 4 5 6 7 8 9 10

Please tell us if there is something we could improve on

Please tell us if there was something we did well

Contact Information

This section is optional.

Patient name

Phone number

Email address

Additional comments

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Rainier Behavioral Health

Telephone 253-475-6021

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